AQUATECH SWIM - REQUEST A LESSON FORM

Use this form to request staff assistance finding lesson availability. Our lessons can be booked up to 7 days in advance, so use this form about a week away from your desired start date.

Lesson schedules can be viewed and booked in the Customer Portal, however, our staff has greater visibility than the portal allows, so getting assistance can be helpful! 

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Email *
In order to register for swim lessons, you must have a CUSTOMER PORTAL ACCOUNT set up with accurate information and an active credit/debit card. Is your customer portal account set up and ready to go? *
What is the FIRST & LAST name of the STUDENT you wish to enroll in lessons?  *
What is the PREFERRED LOCATION for swim lessons?  *
Required
Type of lesson you are interested in enrolling your student in?  *
Required
What is the lesson LEVEL of your student? IMPORTANT: If you do not know, please contact us for assistance or utilize the Level Quiz on the Swim Lessons page of our website.  *
Required
What is your PREFERRED DAY(S) & TIME(S) for swim lessons?  *
Required
If a lesson availability is found in your preferred day/time range, would you like for us to book the lesson for you?  *
Parent/Guardian FIRST & LAST NAME:  *
Parent/Guardian PHONE NUMBER:  *
Additional Comments:  *
A copy of your responses will be emailed to the address you provided.
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